Organization
FAMILY FOOT AND ANKLE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANT MATTHEW BURNHAM DPM (PODIATRIST/OWNER)
(718) 687-7099
Entity
Organization
Contact information
Practice address
828 S 1040 W, PAYSON, UT 84651-4614
(801) 980-9444
(801) 224-5204
Mailing address
828 S 1040 W, PAYSON, UT 84651-4614
(801) 980-9444
(801) 224-5204
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
06/26/2019
Last updated
12/10/2019
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